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Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
Present and Future of Immunotherapy for Triple-Negative Breast Cancer
Sushmitha Sriramulu1, Shivani Thoidingjam1, Corey Speers2,3
1Department of Radiation Oncology, Henry Ford Cancer Institute, Henry Ford Health, Detroit, MI 48202, USA.
Abstract:
Triple-negative breast cancer (TNBC) lacks the expression of estrogen receptors (ERs), human epidermal growth factor receptor 2 (HER2), and progesterone receptors (PRs). TNBC has the poorest prognosis among breast cancer subtypes and is more likely to respond to immunotherapy due to its higher expression of PD-L1 and a greater percentage of tumor-infiltrating lymphocytes. Immunotherapy has revolutionized TNBC treatment, especially with the FDA's approval of pembrolizumab (Keytruda) combined with chemotherapy for advanced cases, opening new avenues for treating this deadly disease. Although immunotherapy can significantly improve patient outcomes in a subset of patients, achieving the desired response rate for all remains an unmet clinical goal. Strategies that enhance responses to immune checkpoint blockade, including combining immunotherapy with chemotherapy, molecularly targeted therapy, or radiotherapy, may improve response rates and clinical outcomes. In this review, we provide a short background on TNBC and immunotherapy and explore the different types of immunotherapy strategies that are currently being evaluated in TNBC. Additionally, we review why combination strategies may be beneficial, provide an overview of the combination strategies, and discuss the novel immunotherapeutic opportunities that may be approved in the near future for TNBC.
Insights
Triple-negative breast cancer (TNBC) shows promise for immunotherapy due to PD-L1 expression. Combination strategies are being explored to improve response rates for this aggressive cancer.
Area of Science:
- Oncology
- Immunology
- Cancer Research
Background:
- Triple-negative breast cancer (TNBC) lacks estrogen receptors (ERs), HER2, and progesterone receptors (PRs), presenting a poor prognosis.
- TNBC exhibits higher PD-L1 expression and tumor-infiltrating lymphocytes, suggesting potential for immunotherapy.
- Current immunotherapy, like pembrolizumab with chemotherapy, has improved outcomes but not for all patients.
Purpose of the Study:
- To review the current landscape of immunotherapy in TNBC.
- To explore combination strategies to enhance immunotherapy response rates.
- To discuss emerging immunotherapeutic opportunities for TNBC.
Main Methods:
- Literature review of TNBC and immunotherapy.
- Analysis of current and investigational immunotherapy strategies.
- Evaluation of combination therapies (chemotherapy, targeted therapy, radiotherapy).
Main Results:
- Immunotherapy, particularly pembrolizumab, has shown efficacy in advanced TNBC.
- Combination strategies are crucial for improving response rates in a broader patient population.
- Several novel immunotherapeutic agents are under investigation.
Conclusions:
- Immunotherapy represents a significant advancement in TNBC treatment.
- Combination strategies are essential to overcome current limitations and improve patient outcomes.
- Future research holds promise for new therapeutic approvals in TNBC.
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